title: Abdominal tuberculosis with massive jejunal haemorrhage.
abstract: Jejunum is a rare site of involvement in intestinal tuberculosis (TB) and massive lower gastrointestinal haemorrhage is an even rare reported condition. The authors report a 15-year-old female student, who presented with fever, anaemia, hypoalbunemia and developed massive lower gastrointestinal haemorrhage during hospital stay. The diagnosis of abdominal TB was established on tissue biopsy; tissue culture was positive for Mycobacterium TB. Optimal outcome was achieved with aggressive resuscitation, repeated mesenteric angio-embolization and anti-tuberculosis chemotherapy.
authors.affiliation: Department of Surgery, The Aga Khan University Hospital, Karachi. rehman.alvi@aku.edu
authors.forename: Abdul Rehman
authors.initials: AR
authors.lastname: Alvi
authors.lastname: Tanveer-Ul-Haq
authors.forename: Amyn
authors.initials: A
authors.lastname: Pardhan
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000473:pathology; D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000628:therapy*; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications / Q000628:therapy*; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents